Dawn M Fields

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

248912-1 Issued in NY

Practice address

208 Dezell Rd
Lisbon, NY 13658-3105

Phone

(315) 393-7793

NPI assigned

Jan 26, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316093974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 DEZELL RD",
            "city": "LISBON",
            "state": "NY",
            "postal_code": "136583105",
            "telephone_number": "315-393-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 DEZELL RD",
            "city": "LISBON",
            "state": "NY",
            "postal_code": "136583105",
            "telephone_number": "315-393-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "DAWN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "248912-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02733448",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corina Bassity, DO
• Judi L Cohen, LCSWR
• Jennifer Lynn Cole-Warriner, BCBA
• Ernie S Cougler, NP
• Sara E Day-Schulz, CCC/SLP
• John Schuyler Gammon II, LMT
• Danielle House
• Lisbon Central School
• Lisbon Medical Group
• Lisbon Medical Group

• Licensed Practical Nurse in Lisbon, NY
• Providers in Lisbon, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.